Theresa Mt Ellingsen, AGCNS-BC is a
Clinical Nurse Specialist based in Aurora, Illinois. Theresa Mt Ellingsen is licensed to practice in Illinois (license number 0411233789) and her current practice location is
400 N Highland Ave, Aurora, Illinois. She can be reached at her office (for appointments etc.) via phone at
(630) 392-9902.
NPI number for Theresa Mt Ellingsen is 1659079804 and her current mailing address is 400 N Highland Ave, Aurora, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659079804.
Provider's Profile
Full Name | Theresa Mt Ellingsen |
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Gender | Female |
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Speciality | Clinical Nurse Specialist |
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Location | 400 N Highland Ave, Aurora, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659079804
- Provider Enumeration Date: 02/17/2023
- Last Update Date: 02/17/2023
Medical Identifiers
Medical identifiers for Theresa Mt Ellingsen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659079804 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364S00000X | Clinical Nurse Specialist | 0411233789 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theresa Mt Ellingsen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Theresa Mt Ellingsen, AGCNS-BC 400 N Highland Ave, Aurora, IL 60506-3814 Ph: () - | Theresa Mt Ellingsen, AGCNS-BC 400 N Highland Ave, Aurora, IL 60506-3814 Ph: (630) 392-9902 |
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